Isifo sokukrala kwebele

IColitis ukudumba (ukudumba) kwamathumbu amakhulu (ikholoni).

Uninzi lwamaxesha, unobangela we-colitis awaziwa.

Izizathu zesifo sokudumba zibandakanya:

• Usulelo olubangelwa yintsholongwane okanye i-parasite
• Ityhefu yokutya ngenxa yentsholongwane
• Isifo seCrohn
• Ukudumba okwenziwa sisilonda sikabhobhosi
• Ukungabikho kokuhamba kwegazi (ischemic colitis)
• Imitha yexesha elidlulileyo yamathumbu amakhulu (i-radiation colitis kunye nokuqina)
• I-Necrotizing enterocolitis kwiintsana ezisandul 'ukuzalwa
• I-Pseudomembranous colitis ebangelwa IClostridium difficile usulelo

Iimpawu zingabandakanya:

• Intlungu yesisu kunye nokudumba okunokuhlala kuhleli okanye kuza kudlule
• Izitulo zegazi
• Umnqweno oqhubekayo wokuba nokunyakaza kwamathumbu (tenesmus)
• Ukuphelelwa ngamanzi emzimbeni
• Urhudo
• Ifiva

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Uya kubuzwa imibuzo malunga neempawu zakho, ezinje:

• Uneempawu ezingakanani?
• Zibuhlungu kangakanani iintlungu zakho?
• Uba neentlungu kangaphi kwaye zihlala ixesha elingakanani?
• Uhlala urhudo kangakanani?
• Ubukhe wakhenketha?
• Ngaba uthathe i-antibiotics kutshanje?

Umboneleli wakho unokucebisa i-sigmoidoscopy eguqukayo okanye i-colonoscopy. Ngethuba lovavanyo, ityhubhu eguqukayo ifakwe ngaphakathi kwi-rectum ukuvavanya ikholoni. Unokuba ne-biopsies ethathwe ngexesha lovavanyo. Ii-Biopsies zinokubonisa utshintsho olunxulumene nokudumba. Oku kunokukunceda ukufumanisa unobangela wokudumba.

Ezinye izifundo ezinokuchonga i-colitis zibandakanya:

• Ukuvavanywa kwe-CT kwesisu
• I-MRI yesisu
• I-enema yeBarium
• Isitulo senkcubeko
• Uviwo lwe-Stool lwe-ova kunye neeparasites

Unyango lwakho luya kuxhomekeka kwisizathu sesi sifo.

Imbonakalo ixhomekeke kwisizathu sengxaki.

• Isifo seCrohn sisigulo esinganyangekiyo kodwa esinokulawulwa.
• I-ulcerative colitis ihlala ilawulwa ngamayeza. Ukuba ayilawulwa, inokunyangeka ngokususa ngotyando ngotyando.
• Intsholongwane, ibhakteria kunye nokudumba okubangelwa kukudumba kunganyangeka ngamayeza afanelekileyo.
• I-Pseudomembranous colitis ihlala inyangeka ngamayeza afanelekileyo.

Iingxaki zinokubandakanya:

• Ukopha ngeentshukumo zamathumbu
• Ukugqitywa kwekholoni
• Megacolon enetyhefu
• Intlungu (isilonda)

Fowunela umboneleli wakho ukuba uneempawu ezinje:

• Iintlungu zesisu ezingangcoli
• Igazi esitofini okanye ilindle elibonakala limnyama
• Urhudo okanye ukugabha okungapheliyo
• Isisu esidumbileyo

• Ukudumba okwenziwa sisilonda sikabhobhosi
• Amathumbu amakhulu (ikholoni)
• Isifo seCrohn-X-ray
• Ukudumba kwesifo

ILichtenstein GR. Ukudumba kwesifo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 132.

I-Osterman MT, iLichtenstein GR. Ukudumba okwenziwa sisilonda sikabhobhosi. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 116.

UWald A. Ezinye izifo zekolon kunye ne-rectum. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 128.